| NPI | 1134212236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 30340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN117855) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN117855) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-10-21 |